T-1 American Osteopathic College of Occupational and Preventive Medicine 2013 Mid Year Educational Conference, Phoenix, Arizona February 14-17, 2013 EMERGING TOPICS and DISASTER PREPAREDNESS Patricia C. Hunt, DO, MHA, CHCQM, FAOBIM, FAOCOPM Outline • How can I prepare myself? – My Home – My Practice/work • What are some emerging tools to prepare, predict, recover? How to think about preparedness… • Doomsday vs. “back up planning” • A series of “what if?” scenarios • NEVER say “never” Examples: What if the power goes out? What if evacuation is required? How can communication take place? Common Features • Destruction (property) • Harm (physical dangers) • Fear (mental impact, exacerbation of pre- existing medical conditions) A I M: The three steps to being psychologically prepared http://www.psychology.org.au/publications/tip_sheets/disasters/#s4 • ANTICIPATE that you will be feeling worried or anxious and remember these are normal, although not always helpful, responses to a possible life threatening situation • IDENTIFY what the specific physical feelings associated with anxiety are and whether you are having any frightening thoughts that are adding to the fear • MANAGE your responses using controlled breathing and self- talk so that you stay as calm as possible and can focus on the practical tasks that need attention
Transcript
T-1
American Osteopathic College of Occupational and Preventive Medicine2013 Mid Year Educational Conference, Phoenix, Arizona
February 14-17, 2013
EMERGING TOPICS and DISASTERPREPAREDNESS
Patricia C. Hunt, DO, MHA, CHCQM,FAOBIM, FAOCOPM
Outline
• How can I preparemyself?
– My Home
– My Practice/work
• What are someemerging tools toprepare, predict,recover?
How to think about preparedness…• Doomsday vs. “back up planning”
• A series of “what if?” scenarios
• NEVER say “never”
Examples:
What if the power goes out?
What if evacuation is required?
How can communication take place?
Common Features
• Destruction (property)
• Harm (physical dangers)
• Fear (mental impact, exacerbation of pre-existing medical conditions)
A I M:The three steps to being psychologically prepared
• ANTICIPATE that you will be feeling worried or anxious andremember these are normal, although not always helpful,responses to a possible life threatening situation
• IDENTIFY what the specific physical feelings associated withanxiety are and whether you are having any frighteningthoughts that are adding to the fear
• MANAGE your responses using controlled breathing and self-talk so that you stay as calm as possible and can focus on thepractical tasks that need attention
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American Osteopathic College of Occupational and Preventive Medicine2013 Mid Year Educational Conference, Phoenix, Arizona
February 14-17, 2013
IMPACT ON THE INFRASTRUCTURE
EXAMPLES OF POSSIBLE IMPACT OF DAMAGE ON INFRASTRUCTURE
Damage to . . . Possible Effects
Transportation Inability to assess damage accurately
Ambulancesprevented from reaching victims
Pol ice prevented from reachingareas ofcivil unrest
Fire departments prevented from gettingto fires
Flow ofneeded supplies (food, water,etc.) is interrupted
Roadsare closed and/or impassable
Structures Damaged critical facilities (e.g., hospitals, fire stations, policeprecincts, airports) unable to function normally
Increased risk ofdamage from falling debris
Communication Systems Victimsunable to call for help
Coordination ofservices is hampered
Familiesand friends cannotcommunicate
Uti lities Loss of service
Increased risk of fire or electrical shock
Limited accessto fuel, e.g., pumpsthat may not work
Loss of contact between victims and service providers
Water Service Medical facilities hampered
Inadequate water flow, which results in notice to boil water andhampered firefighting capabilities
Increased risk to public health
Fuel Supplies Increased risk of fire or explosion from fuel line rupture
Risk of asphyxiation
Financial Services ATM machinesdo not work
Creditcard systemsinoperable
Key points to communicate are:
• Location of the incident• Type of incident• Any hazards• Approximate number of victims• Type of assistance required
http://www.cert-la.com/triage/start.htm
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American Osteopathic College of Occupational and Preventive Medicine2013 Mid Year Educational Conference, Phoenix, Arizona
February 14-17, 2013
Your householdAND
Your business
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American Osteopathic College of Occupational and Preventive Medicine2013 Mid Year Educational Conference, Phoenix, Arizona
February 14-17, 2013
Being Preparedhttp://emergency.cdc.gov/preparedness/kit/disasters/
• MULTIPURPOSE TOOL
• SANITATION AND PERSONAL HYGIENE ITEMS
• COPIES OF PERSONAL DOCUMENTS(MEDICATION LIST AND PERTINENT MEDICALINFORMATION, PROOF OF ADDRESS,DEED/LEASE TO HOME, PASSPORTS, BIRTHCERTIFICATES, INSURANCE POLICIES)
• CELL PHONE WITH CHARGERS
• EMERGENCY CONTACT INFORMATION
• EXTRA CASH
• EMERGENCY BLANKET
• MAP(S) OF THE AREA
• MEDICAL SUPPLIES (HEARING AIDS WITHEXTRA BATTERIES, GLASSES, CONTACT LENSES,SYRINGES, CANE)
• PET SUPPLIES (COLLAR, LEASH, ID, FOOD,CARRIER, BOWL)
• TWO WAY RADIOS
• MANUAL CAN OPENER• WHISTLE• N95 OR SURGICAL MASKS• MATCHES• RAIN GEAR• TOWELS• WORK GLOVES• TOOLS/SUPPLIES FOR SECURING YOUR
HOME• EXTRA CLOTHING, HAT AND STURDY
SHOES• PLASTIC SHEETING• DUCT TAPE• SCISSORS• HOUSEHOLD LIQUID BLEACH• ENTERTAINMENT ITEMS• BLANKETS OR SLEEPING BAGS• SHUT OFF VALVE WRENCH• CLEAN LARGE GARBAGE CAN
Water
• STORE AT LEAST 1 GALLON PERPERSON AND PET PER DAY.
• STORE AT LEAST A 3-DAY SUPPLYOF WATER FOR EACH MEMBEROF YOUR FAMILY.
• IN AN EMERGENCY, DRINK ATLEAST 2 QUARTS OF WATER ADAY, OR 3 TO 4 QUARTS A DAY IF
– PREGNANT,
– SICK,
– A CHILD
– HOT CLIMATE
Water (from uncertain sources).
• STRAINING IT.– POUR THE WATER THROUGH PAPER
TOWELS, A CLEAN CLOTH, OR A COFFEEFILTER TO REMOVE ANY SUSPENDEDPARTICLES.
• DISTILLING IT.– FILL A POT HALFWAY WITH WATER. TIE
A CUP TO THE HANDLE ON THE POT'SLID SO THAT THE CUP WILL HANGRIGHT-SIDE-UP INSIDE THE POT WHENTHE LID IS UPSIDE-DOWN WITHOUTDANGLING INTO THE WATER. BOIL THEWATER FOR 20 MINUTES. THE WATERTHAT DRIPS FROM THE LID INTO THECUP IS DISTILLED.
• BOILING IT.– IN A LARGE POT OR KETTLE, BRING
WATER TO A ROLLING BOIL FOR 1 FULLMINUTE. COOL IT AND POUR IT BACKAND FORTH BETWEEN TWO CLEANCONTAINERS TO IMPROVE ITS TASTEBEFORE DRINKING IT.
• CHLORINATING IT.– USING HOUSEHOLD LIQUID BLEACH
THAT CONTAINS 5.25 TO 6.0 PERCENTSODIUM HYPOCHLORITE, ADD 16DROPS (1/8 TEASPOON) PER GALLONTO WATER IN A LARGE POT OR KETTLE.STIR AND LET STAND FOR 30 MINUTES.IF THE WATER DOES NOT HAVE ASLIGHT BLEACH ODOR, REPEAT THEDOSAGE AND LET STAND ANOTHER 15MINUTES. IF IT STILL DOES NOT SMELLOF CHLORINE, FIND ANOTHER SOURCEOF WATER AND START OVER.
FOOD—NON-PERISHABLE
EASY TO PREPARE ITEMS
3 DAY SUPPLY FOR EVACUATION
2 WEEK SUPPLY FOR HOME
Your Practice
• Design a response plan. Review with each department the critical steps containedin the plan, then have each member sign a document indicating they understandhow the plan will be implemented in the event of an emergency.
• Review the plan periodically and make updates when needed, such as when youexpand or relocate your office space.
• Assume that you will have experience either temporary or permanent loss ofaccess to:
– Patient charts and other key information;– Medical information, such as specialty journals and textbooks;– Support and clinical staff, such as nurses, administrative and billing personnel.
• How to contact employees and patients if phone lines are inaccessible;• The length of time the practice can survive financially.• The pharmaceuticals and other medical supplies that must be rapidly restocked;• Your business insurance policy and how it addresses interruption in service;• A new site where you can quickly set up and run your practice.
Your Practice
• Obtaining ready access to the home phone numbers, e-mailaddresses, pager numbers, and cell phone numbers of allstaff members. Periodically update this information.
• This information should be stored off-site in a securelocation since it may contain confidential contactinformation.
• Securing pertinent contact information for government andemergency agencies.
• Developing a telephone message informing patients of whyyou have temporarily shut down, who they should call formedical emergencies and further contact information.
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American Osteopathic College of Occupational and Preventive Medicine2013 Mid Year Educational Conference, Phoenix, Arizona
February 14-17, 2013
Your Practice
• Having copies of patient charts and other vital records off site(experts recommend that this is at least 50 miles away fromyour practice), even if most of your records are storedelectronically. You should also keep extra copies of all theforms you use in your practice.
• Securing copies of loan applications, grant proposals, realestate records, advertising contracts or other agreements thatare crucial for your business in a safe location.
• Sufficient insurance coverage
Your Practice
• Business interruption coverage?
• In many cases, when determining an alternate site for your practice, you may be able to forma mutual partnership with another practice, arranging for an emergency sharing of oneanother's facilities in case of disaster.
• Partner, if possible, with someone who is geographically far enough away to minimize thechances that you will both be affected by the same emergency situation or subsequentevents.
• Your plan should also detail how you can communicate with vendors about where to deliversupplies, notify labs about your relocation, and inform other service people about how youare coping with your recovery. Plus, you should check with your vendors to see if theypossess adequate business recovery plans. If they don't, urge them to put one together orfind another vendor who is adequately prepared.
Your Practice
• Designate a trusted individual who can implementthe recovery plan in case you are unavailable.
• Make sure your staff knows how to evacuate fromyour office in the event of a disaster.
• Periodically review and retrain staff about thelocation and proper use of available fireextinguishers .
• If your office is located in a building with otherbusinesses and practices, coordinate your emergencyplan with your neighbors
Emerging tools
• New applications of technology
• Social media
• Others
REMEMBER:
Every new technology brings with it the capacityto screw things up in an entirely new way.http://www.computerworld.com/s/article/9221375/Social_media_firestorms_A_first_responder_s_guide
